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FIBROBLAST	
  GROWTH	
  FACTOR	
  RECEPTOR	
  3….	
  
                                                                                	
  

4. DISCUSSION

        RNA	
   interference	
   is	
   emerging	
   as	
   a	
   strategy	
   for	
   the	
   highly	
   specific	
  
suppression	
  of	
  gene	
  expression,	
  both	
  in	
  vitro	
  and	
  in	
  vivo.	
  The	
  present	
  work	
  shows	
  
the	
   use	
   of	
   siRNA	
   duplexes	
   targeting	
   FGFR3	
   to	
   knockdown	
   the	
   mRNA	
   and	
   protein	
  
expression	
   levels	
   of	
   this	
   receptor	
   in	
   immortalized	
   human	
   chondrocytes	
   carrying	
  
the	
  achondroplasia	
  mutation	
  (G380R).	
  

        Our	
  results	
  are	
  consistent	
  with	
  previous	
  studies	
  demonstrating	
  that	
  siRNAs	
  
targeting	
  distinct	
  mRNA	
  sequences	
  results	
  in	
  different	
  silencing	
  efficiency	
  (11,	
  13).	
  
A	
   significant	
   decrease	
   of	
   FGFR3	
   mRNA	
   and	
   protein	
   levels	
   was	
   observed	
   after	
  
transient	
   transfection	
   with	
   siRNA	
   sequences	
   1	
   and	
   2,	
   while	
   the	
   siRNA	
   sequence	
   3	
  
did	
  not	
  induce	
  FGFR3	
  down-­-regulation	
  in	
  the	
  same	
  extent.	
  

        Activation	
   of	
   FGFR3	
   results	
   in	
   trans-­-autophosphorylation	
   of	
   juxtaposed	
  
intracellular	
  kinase	
  domains	
  with	
  subsequent	
  recruitments	
  of	
  signalling	
  molecules	
  
leading	
   to	
   phosphorylation	
   and	
   activation	
   of	
   different	
   signalling	
   pathways.	
  
Therefore,	
   we	
   determined	
   whether	
   these	
   signalling	
   pathways	
   were	
   also	
   affected	
  
by	
  FGFR3	
  knockdown.	
  In	
  particular,	
  we	
  have	
  analyzed	
  one	
  of	
  the	
  best	
  known	
  and	
  
characterized	
   downstream	
   signal	
   transduction	
   pathways	
   coupled	
   to	
   FGFR3,	
   the	
  
ERK	
   mitogen	
   activated	
   protein	
   kinase	
   cascade.	
   The	
   sustained	
   activation	
   of	
   this	
  
pathway	
   is	
   involved	
   in	
   the	
   inhibitory	
   effect	
   of	
   FGF	
   signalling	
   on	
   chondrocyte	
  
proliferation	
  and	
  cartilage	
  matrix	
  production	
  (3,	
  5).	
  FGFR3	
  knockdown	
  by	
  siRNAs	
  
(siRNAs	
   sequence	
   1	
   and	
   2)	
   attenuated	
   the	
   ERK1/2	
   phosphorylation	
   suggesting	
  
that	
   the	
   negative	
   effects	
   mediated	
   by	
   this	
   pathway	
   could	
   be	
   counteracted	
   by	
  
siRNAs	
  targeting	
  FGFR3.	
  

        RNA	
   interference	
   strategies	
   have	
   been	
   previously	
   described	
   in	
   different	
  
types	
   of	
   cancer	
   cells	
   that	
   have	
   activating	
   mutations	
   in	
   FGFR3.	
   In	
   bladder	
   cancer	
  
cells,	
   knockdown	
   of	
   FGFR3	
   by	
   siRNAs	
   lead	
   to	
   decrease	
   proliferation,	
   reduced	
  
clonogenicity	
  and	
  soft	
  agar	
  growth	
  (14).	
  Similarly,	
  siRNA-­-mediated	
  knockdown	
  of	
  
FGFR3	
   inhibited	
   anchorage-­-independent	
   growth	
   of	
   adrenal	
   carcinoma	
   cells	
   (12).	
  
Inhibition	
   of	
   FGFR3	
   expression	
   by	
   RNA	
   interference	
   has	
   been	
   also	
   reported	
   in	
  
multiple	
   myeloma	
   cells	
   (11).	
   On	
   the	
   other	
   hand,	
   regarding	
   skull	
   and	
   skeletal	
  
growth	
   disorders,	
   RNA	
   interference	
   to	
   knock-­-down	
   the	
   expression	
   of	
   a	
   mutant	
  
FGFR2	
  has	
  been	
  used	
  in	
  Apert	
  syndrome,	
  a	
  classic	
  severe	
  form	
  of	
  craniosynostosis	
  
(15).	
  However,	
  to	
  our	
  knowledge	
  we	
  have	
  shown	
  for	
  the	
  first	
  time	
  the	
  use	
  of	
  RNA	
  
interference	
  targeting	
  FGFR3	
  in	
  human	
  achondroplastic	
  chondrocytes.	
  

        Although	
  several	
  therapeutic	
  approaches	
  have	
  emerged	
  for	
  achondroplasia	
  
treatment,	
  the	
  translation	
  of	
  these	
  therapies	
  into	
  the	
  clinic	
  has	
  not	
  taken	
  place.	
  One	
  
of	
  the	
  main	
  troubles	
  for	
  the	
  success	
  of	
  new	
  therapies	
  is	
  the	
  delivery	
  of	
  compounds	
  
to	
   growth	
   plate	
   chondrocytes	
   of	
   cartilage.	
   The	
   avascular	
   nature	
   of	
   the	
   cartilage	
  
tissue	
   represents	
   a	
   challenge	
   for	
   drug	
   delivery.	
   Conjugation	
   of	
   siRNAs	
   with	
   small	
  
molecules	
   that	
   posses	
   affinity	
   for	
   cartilage	
   or	
   chondrocytes	
   could	
   facilitate	
   the	
  
target	
   to	
   growth	
   plate	
   chondrocytes	
   of	
   cartilage.	
   In	
   this	
   sense,	
   several	
   strategies	
  
have	
   been	
   developed	
   to	
   promote	
   cell/tissue-­-specific	
   siRNA	
   delivery	
   (16).	
  
Additionally,	
   the	
   dense	
   extracellular	
   matrix	
   that	
   surround	
   chondrocytes	
   form	
   an	
  
important	
   barrier	
   for	
   drug	
   delivery.	
   However,	
   siRNAs	
   are	
   small	
   enough	
   that	
  
diffusion	
  through	
  extracellular	
  matrix	
  should	
  not	
  be	
  an	
  issue.	
  

	
  

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